Organization
SEQUOIA COMMUNITY HEALTH FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L MAFFEO M.D. (CHIEF EXECUTIVE OFFICER)
(559) 487-7806
Entity
Organization
Contact information
Practice address
2505 DIVISADERO ST, SUITE 100, FRESNO, CA 93721-1401
(559) 457-5500
(559) 457-5599
Mailing address
1945 N FINE AVE, FRESNO, CA 93727-1528
(559) 457-5283
(559) 457-5800
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
040000557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71069F
—
CA
Enumeration date
05/17/2006
Last updated
07/14/2008
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